TRACY L PECHACEK (NPI# 1508962473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508962473 |
| Entity Type | Individual |
| Full Name | TRACY L PECHACEK |
| Credential | CRNA |
| Practice Address |
1575 Beam Ave Maplewood MN 55109-1126 |
| Mailing Address |
8681 Eagle Point Blvd Lake Elmo MN 55042-8628 |
| Practice Telephone | 6517350501 |
| Practice Fax Number | 6517351870 |
| Mailing Telephone | 6512518021 |
| Mailing Fax Number | 6512518050 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2010-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R1213470 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 066955500 | 05 |
| Street Address |
1575 BEAM AVE |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447468 | Darcy Ross Mcbride | Radiology | 1575 Beam Ave, Health East Cancer Care, Maplewood, MN 55109-1126 | 2005-06-15 |
| 1851857627 | Ashley Marie Vold | Physician Assistant | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2019-02-15 |
| 1972075406 | Baylee Nahan | Physician Assistant | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-12-21 |
| 1770087058 | Anna Rae Shelley | Genetic Counselor, MS | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-03-21 |
| 1922508605 | Jason Krier | Nurse Anesthetist, Certified Registered | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-02-19 |
| 1568970051 | Rachel Holen | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-01-18 |
| 1366959652 | Gabrielle Mae Blia Lee | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-01-08 |
| 1962925479 | Yeng Lor | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-18 |
| 1396268801 | De Mo Soe | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-18 |
| 1437672946 | Way Ber | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851589147 | Claudia T, Young | Nurse Anesthetist, Certified Registered | 48 Garfield Pl, Maplewood, NJ 07040-1412 | 2007-10-11 |
| 1922508605 | Jason Krier | Nurse Anesthetist, Certified Registered | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-02-19 |
| 1659698009 | Julie Lynn Bjork | Nurse Anesthetist, Certified Registered | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2010-04-26 |
| 1801952502 | Katherine J Norelius | Nurse Anesthetist, Certified Registered | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2006-12-28 |
| 1275614901 | Randy L Vindedahl | Nurse Anesthetist, Certified Registered | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2006-10-18 |
| 1093814089 | Mary L Hasecuster | Nurse Anesthetist, Certified Registered | 1655 Beam Ave, Maplewood, MN 55109 | 2006-09-22 |
| 1639278625 | Julie A Johnson | Nurse Anesthetist, Certified Registered | 1655 Beam Ave, Maplewood, MN 55109 | 2006-09-22 |
| 1265531255 | Patricia C Kohlbeck | Nurse Anesthetist, Certified Registered | 1575 Beam Ave, Maplewood, MN 55109 | 2006-09-22 |
| 1144329137 | Kathleen F Gams | Nurse Anesthetist, Certified Registered | 1575 Beam Ave, Maplewood, MN 55109 | 2006-09-22 |
| 1629177605 | Marilyn J Downs | Nurse Anesthetist, Certified Registered | 1575 Beam Ave, Maplewood, MN 55109 | 2006-09-22 |
| Find all providers in MAPLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.